Individual provider Active NPI

Myeong O Sheard, DPM

  • Podiatrist
  • High Point, NC
National Provider Identifier
1871657924
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
233 Issued in NC
Practice address
3931 Tinsley Dr
Suite 104
High Point, NC 27265-1532
Phone
(336) 282-8787
Fax
(336) 510-7284
NPI assigned
Dec 21, 2006
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 233 NC Primary

Addresses

Primary practice location

3931 Tinsley Dr
Suite 104
High Point, NC 27265-1532

Mailing address

3931 Tinsley Dr
Suite 104
High Point, NC 27265-1532
Phone (336) 282-8787

Other identifiers 1

IdentifierTypeStateIssuer
890816BMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
233NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Guilford Foot Center PA PastSince Nov 18, 1994 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1871657924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 TINSLEY DR",
            "address_2": "SUITE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651532",
            "telephone_number": "336-282-8787",
            "fax_number": "336-510-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 TINSLEY DR",
            "address_2": "SUITE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651532",
            "telephone_number": "336-282-8787",
            "fax_number": "336-510-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARD",
        "first_name": "MYEONG",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890816B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.